Organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Active
Other names
PrimaryOne Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE GOMEZ OTAYCO (COO)
(217) 273-7718
Entity
Organization
Contact information
Practice address
2300 W BROAD ST, COLUMBUS, OH 43204-3783
(614) 645-2300
(614) 645-2333
Mailing address
3433 AGLER RD STE 2800, COLUMBUS, OH 43219-3389
(614) 859-1906
(614) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051176
—
OH
01
—
36D0328844
CLIA
OH
Enumeration date
12/15/2006
Last updated
08/26/2025
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